AMENDMENT NO. 2 TO LEASE AGREEMENT (Heritage) THIS AMENDMENT TO LEASE AGREEMENT (this "Amendment") dated as of August 1, 1994, by and between Heritage Associates Limited Partnership, a Maryland limited partnership, having an address at 515 Fairmount Avenue, Suite 900, Towson, Maryland 21286 ("Landlord"), and Meridian Healthcare, Inc., a Pennsylvania corporation, having an address at 148 State Street, Kennett Square, Pennsylvania 19348 ("Tenant"). W I T N E S S E T H: In consideration of the mutual covenants and conditions set forth herein, the parties hereto intending to be legally bound, hereby agree to amend the Lease Agreement dated November 30, 1993 and the Amendment No. 1 To Lease Agreement dated August 1, 1994 between Landlord and Tenant (the "Lease") as follows: 1. The lease is hereby amended by deleting Section 2.01 in its entirety and by inserting in lieu thereof the following: "Section 2.01. For each Lease Year (as defined in Article 31) during the Initial Term, Tenant shall pay to Landlord in lawful money of the United States of America, or by check subject to collection, at the address of Landlord specified above or at such other place as Landlord may from time to time designate, without any deduction or offset, a net annual basic rental of Seven Hundred Ninety-Five Thousand Dollars ($795,000) per year, payable in equal monthly installments of Sixty-Six Thousand Two-Hundred Fifty Dollars ($66,250) each in advance beginning on the Commencement Date and continuing on the first day of each month thereafter (the "Basic Rent"). The first monthly installment of Basic Rent shall be payable in advance on the Commencement Date. If the Commencement Date falls on a day other than the first day of a calendar month, the first monthly installment of Basic Rent shall be apportioned pro rata on a per diem basis and shall be paid on the Commencement Date. For each Lease Year during the Renewal Term, if any, the Basic Rent shall be the greater of the Fair Rental Value (as defined in Article 31) or Eight Hundred Thirty-Five Thousand Dollars ($835,000) per year, payable in advance in equal monthly installments due on the first day of each calendar month during the Renewal Term." 2. All of the terms and conditions of the Lease, as amended hereby, are hereby ratified and confirmed. IN WITNESS WHEREOF, Landlord and Tenant have duly executed and delivered this Amendment as of the day and year first above written. LANDLORD: Heritage Associates Limited Partnership By: MHC Holding Company General Partner Name: /s/Michael J. Batza, Jr. Title: Vice President TENANT: Meridian Healthcare, Inc., a Pennsylvania Corporation By: /s/George V. Hager, Jr. Name: Title: -2- AFFIRMATION OF GUARANTEE The undersigned hereby affirms its guarantee of the Lease referred to in the foregoing Amendment and guarantees absolutely and unconditionally the payment when due of all amounts which the Lease dated November 30, 1993 between Heritage Associates Limited Partnership ("Landlord") and Meridian Healthcare, Inc., a Pennsylvania corporation ("Tenant"), as amended by Amendment No. 2 thereto dated August 1, 1994, requires to be paid to the Landlord and the punctual performance of all covenants of the Tenant to be performed thereunder. This Guarantee shall not be released or discharged until all sums required under the Lease (as so amended) to be paid to Landlord shall have been paid in full, regardless of whether the Tenant shall have been released or otherwise discharged, whether by agreement or by operation of law or otherwise. GENESIS HEALTH VENTURES, INC. By: /s/George V. Hager, Jr. Name: Title: -3- STATE OF MARYLAND, CITY/COUNTY OF Baltimore, to wit: I HEREBY CERTIFY, that on this 31st day of July, 1995, before me, the undersigned Notary Public of the State of Maryland, personally appeared Michael J. Batza, Jr., who acknowledged himself/herself to be the Vice President of MHC Holding Company, known to me (or satisfactorily proven) to be the person who executed the foregoing agreement and acknowledged that he/she executed the same for the purposes therein contained by signing the name of the said MHC Holding Company by himself/ herself as Vice President. IN WITNESS WHEREOF, I hereunto set my hand and official seal. /s/Pamela S. Burke NOTARY PUBLIC My commission expires: 8/1/98 -4- STATE OF PENNSYLVANIA, CITY/COUNTY OF Chester, to wit: I HEREBY CERTIFY, that on this 2nd day of April, 1996, before me, the undersigned Notary Public of the State of Pennsylvania, personally appeared George V. Hager, Jr. who acknowledged himself/herself to be the Senior Vice President and Chief Financial Officer of Meridian Healthcare, Inc., known to me (or satisfactorily proven) to be the person who executed the foregoing agreement and acknowledged that he/she executed the same for the purposes therein contained by signing the name of the said Meridian Healthcare, Inc., by himself/herself as Senior Vice President and Chief Financial Officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. /s/ NOTARY PUBLIC My commission expires: -5- STATE OF PENNSYLVANIA, CITY/COUNTY OF Chester, to wit: I HEREBY CERTIFY, that on this 2nd day of April, 1996, before me, the undersigned Notary Public of the State of Pennsylvania, personally appeared George V. Hager, Jr. who acknowledged himself/herself to be the Senior Vice President and Chief Financial Officer of Genesis Health Ventures, Inc., known to me (or satisfactorily proven) to be the person who executed the foregoing agreement and acknowledged that he/she executed the same for the purposes therein contained by signing the name of the said Genesis Health Ventures, Inc. by himself/herself as Senior Vice President and Chief Financial Officer IN WITNESS WHEREOF, I hereunto set my hand and official seal. /s/ NOTARY PUBLIC My commission expires: -6-